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Bayes Achievement Center

Child care center · 7517 HIGHWAY 75 S, Huntsville, TX 77340-2485 · License 256371

0Compliance score
Poor

Capacity 62. 6-18

Violation history (392)

Severity	Date	Standard / narrative	Corrected
4	—	748.2151(c)(5) - Medication record - must include date (day/month/year) & time each medication was administered A medication log reviewed for one of six children did not show a documented amount of medication administered or remaining count from September 1st through 22nd.	—
5	—	748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being Children in the staff reported that one or more staff members have been observed sleeping during the overnight shift.	—
4	—	748.930(b)(2) - Annual Training- Caregivers must have 2 hrs trauma informed care. Three of the six employee files reviewed were observed to be missing training in Trauma Informed Care.	—
4	—	748.4083(a) - Vehicle and maintenance-Must maintain a vehicle in a safe operating condition at all times One of the three transportation vans was observed to have a missing arm rest that exposed a small protruding metal piece on the side of the seat utilized by children in care. A second vehicle was observed to have an inoperable headlight.	—
5	—	745.8641 - Requirements during probation Condition #1-Met Condition #2-Met Condition #3-Met Condition #4-Met Condition #5-Not Met Condition #6-Met	—
5	—	748.1101(b)(4)(A) - Children's rights-The right to be free from any harsh, cruel, unusual, unnecessary, demeaning, or humiliating treatment or punishment. Video surveillance revealed staff engaging in overt unfavorable physical contact with children in care.	—
5	—	748.2303(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work. Staff was observed on video hitting a child in the face with a closed hand.	—
5	—	745.8641 - Requirements during probation Condition #1-Met Condition #2-Met Condition #3-Not Met Condition #4-Met Condition #5-Met Condition #6-Met	—
4	—	748.4657(1)(A) - Annual Training-Every 6 months a caregiver must complete at least 4 hours of training in EBI One of the six employee files reviewed was observed to be missing an annual training in EBI.	—
3	—	748.751(a)(2) - Pre-Employment Screening-You must contact the employer to verify if the applicant was employed as described in the applicant's employment history. Pre-employment screenings were observed to be completed after employees were hired.	—
5	—	748.2303(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work. An employee was observed on video forcibly picking a child up from his chair and dragging him by his pant leg, and in another video, pushing this same child in care out of his chair onto the floor and hitting him.	—
4	—	748.303(a)(3)(A) - Serious Incident-Report to Licensing as soon as aware of allegations or indications of abuse, neglect, or exploitation of a child A staff member documented that a staff bent a child's fingers back causing the child pain, but the incident was not reported to the abuse/neglect hotline within the time frame required by minimum standards.	—
4	—	748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks During the investigation, it was reported through multiple interviewees that multiple staff were overheard using profanity.	—
4	—	748.2901(2)(A) - Triggered Reviews-Review if child is personally restrained 4 times within a 7-day period, unless otherwise ordered or recommended in advance One of the eight child files reviewed was observed to be missing 2 Triggered Reviews.	—
4	—	748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks Staff did not exercise self-control when disciplining a child in care by use of corporal punishment.	—
4	—	748.753(a)(2) - Pre-Employment Screening-You must contact each of the two references to verify that the applicant is suitable to work with or around children. References for an employee hired on 02/09/26 were not contacted until 02/18/26.	—
5	—	748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation A staff member used physical force to push, punch, drag and twist a child?s arm behind their back as an inappropriate response to behaviors demonstrated.	—
4	—	748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks A staff member failed to exercise prudent judgement and maintain self-control when he used physical force to hit and push a child in care to the ground, and physically pull the child across the floor by his pants.	—
5	—	748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation A child in care was subjected to physical discipline by a staff member.	—
4	—	748.685(b)(3) - Caregiver responsibility - when deciding how close to supervise, takes into account the indoor and outdoor layout of the operation Children in care were not provided adequate supervision resulting in two children engaging in sexually inappropriate behavior with one another.	—
5	—	748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being Staff failed to properly supervise a child who is non-verbal. Child sustained a serious fracture of the right middle proximal phalarix (finger) that required medical attention and a cast.	—
4	—	748.303(a)(3)(A) - Serious Incident-Report to Licensing as soon as aware of allegations or indications of abuse, neglect, or exploitation of a child Staff member did not report a serious incident report in a timely manner to Texas Hotline.	—
5	—	745.8641 - Requirements during probation Condition #1-Not Met Condition #2-Met Condition #3-Met Condition #4-Met Condition #5-Met Condition #6-Met	—
4	—	748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks Video surveillance revealed staff responsible for ensuring child safety present during the time that children in care were being subjected to excessive physical contact failing to intervene.	—
5	—	748.125(c)(1) - Suicide Training-All caregivers and employees must complete at least one hour of annual suicide prevention training. Neither of the four employee files reviewed were observed to have an annual Suicide Training.	—
2	—	748.753(c)(2) - Pre-Employment Screening-You must document your diligent efforts to contact the reference, which must include more than one attempt to contact. Employee files were observed to be missing documentation of attempts to contact references, and in some cases, there was an insufficient number of attempts made.	—
4	—	748.303(a)(3)(A) - Serious Incident-Report to Licensing as soon as aware of allegations or indications of abuse, neglect, or exploitation of a child A child made an outcry of abuse by staff and the staff that it was reported to did not report it for several weeks.	—
4	—	748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks A staff member failed to exercise prudent judgement and maintain self-control when he used physical force to kick a child in care as an inappropriate response to behaviors demonstrated.	—
2	—	748.751(b)(2) - Pre-Employment Screening-You must document the results of any contact with an applicant's previous employers in the personnel file. Results of pre-employment screening were not documented in an employee's file.	—
2	—	748.1583(b) - TB exam-Documentation of baseline test or chest xray results in person's record w/in 40 days of beginning to live, work, volunteer at facility Child files were observed to be missing TB exam documentation.	—
3	—	748.1103(a) - Informing child of rights-Review rights with child/parents within 7 days of child's admission; provide child/parents with written copy of rights One of the four child files was observed to be missing a signed copy of the Child's Rights.	—
4	—	748.1337(b)(1)(D)(ii) - Initial Service Plan-Include instructions to caregivers about level of supervision required Caregivers did not provide line-of-sight supervision for two youths in care as required by their service plan. As a result two youths went into a bedroom for approximately ten minutes before being noticed.	—
1	—	748.395(1) - Active child record - All documentation in the record no later than 30 days after occurrence or event A review of records indicated that documentation of dental examinations for two children in care was not present in their files.	—
3	—	748.311 - Serious Incident Documentation-Documented in written report Two staff members failed to document and report the incidents that took place with a child in care on 3/12/22.	—
3	—	748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records Two of the six employee files reviewed were observed to be missing current driver's licenses.	—
5	—	748.1101(b)(4)(A)(ii) - Children's rights-The right to be free from being subjected to or threatened with corporal punishment, including spanking or hitting A child in care was subjected to corporal punishment when a staff member used physical discipline as an inappropriate response to the child's behavior.	—
5	—	745.8641 - Requirements during probation Condition #1-Met Condition #2-Met Condition #3-Met Condition #4-Met Condition #5-Not Met Condition #6-Met	—
5	—	748.2307(1) - Other Prohibited Punishments-any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline/punishment Both the victim and the other collateral children in care that were interviewed made similar outcries that a staff member used a cell phone to tap them on their heads to redirect them.	—
3	—	748.1501(a)(1) - Dental care-Children in care must receive dental care initially according to the requirements in 748.1225 A child who was admitted into care on 02/15/2022 did not receive dental care until 01/10/2024.	—
5	—	HRC42.04412(a) - Interference with an investigation Multiple staff members questioned the children about the alleged incident before reporting to the hotline.	—
4	—	748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model Six medication logs for four children in care were observed to have an inaccurate count of medication remaining documented on the log compared to the actual count.	—
4	—	748.4083(a) - Vehicle and maintenance-Must maintain a vehicle in a safe operating condition at all times Both seatbelts on the second row of Vehicle #037 were observed to be inoperable. One seatbelt in vehicle #028 on the second row was observed to be inoperable.	—
4	—	748.930(b)(3) - Annual Training- Caregivers must have 1 hour normalcy training. One of the six employee files reviewed was observed to be missing an annual training in Normalcy.	—
5	—	745.8641 - Requirements during probation Condition #1-Met Condition #2-Met Condition #3-Met Condition #4-Met Condition #5-Not Met-Employee observations were not conducted in accordance with the conditions that have been imposed. Condition #6-Met	—
3	—	748.1103(a) - Informing child of rights-Review rights with child/parents within 7 days of child's admission; provide child/parents with written copy of rights Two of the six child records reviewed showed that children in care were provided a copy of the child rights after seven days of being admitted.	—
5	—	748.1101(b)(4)(A)(ii) - Children's rights-The right to be free from being subjected to or threatened with corporal punishment, including spanking or hitting A staff member hit a child in care.	—
4	—	748.303(a)(3)(A) - Serious Incident-Report to Licensing as soon as aware of allegations or indications of abuse, neglect, or exploitation of a child Two of the five employee files were observed to have disciplinary actions detailing inappropriate discipline methods of children in care. These incidents were not reported to Licensing.	—
5	—	748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation A child in care was observed on video being struck in the face by a staff member as a form of punishment.	—
3	—	748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records One of five employee pre-employment reference documents was observed to be missing dates of previous employment.	—
1	—	748.395(1) - Active child record - All documentation in the record no later than 30 days after occurrence or event A review of records indicated that documentation of dental examinations for two children in care was not present in their files.	—
5	—	748.2307(1) - Other Prohibited Punishments-any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline/punishment Both the victim and the other collateral children in care that were interviewed made similar outcries that a staff member used a cell phone to tap them on their heads to redirect them.	—
2	—	748.753(c)(2) - Pre-Employment Screening-You must document your diligent efforts to contact the reference, which must include more than one attempt to contact. Employee files were observed to be missing documentation of attempts to contact references, and in some cases, there was an insufficient number of attempts made.	—
4	—	748.753(a)(2) - Pre-Employment Screening-You must contact each of the two references to verify that the applicant is suitable to work with or around children. References for an employee hired on 02/09/26 were not contacted until 02/18/26.	—
3	—	748.1103(a) - Informing child of rights-Review rights with child/parents within 7 days of child's admission; provide child/parents with written copy of rights Two of the six child records reviewed showed that children in care were provided a copy of the child rights after seven days of being admitted.	—
5	—	748.1101(b)(4)(A) - Children's rights-The right to be free from any harsh, cruel, unusual, unnecessary, demeaning, or humiliating treatment or punishment. Video surveillance revealed staff engaging in overt unfavorable physical contact with children in care.	—
4	—	748.4657(1)(A) - Annual Training-Every 6 months a caregiver must complete at least 4 hours of training in EBI One of the six employee files reviewed was observed to be missing an annual training in EBI.	—
4	—	748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks A staff member failed to exercise prudent judgement and maintain self-control when he used physical force to hit and push a child in care to the ground, and physically pull the child across the floor by his pants.	—
4	—	748.303(a)(3)(A) - Serious Incident-Report to Licensing as soon as aware of allegations or indications of abuse, neglect, or exploitation of a child Two of the five employee files were observed to have disciplinary actions detailing inappropriate discipline methods of children in care. These incidents were not reported to Licensing.	—
4	—	748.303(a)(3)(A) - Serious Incident-Report to Licensing as soon as aware of allegations or indications of abuse, neglect, or exploitation of a child Staff member did not report a serious incident report in a timely manner to Texas Hotline.	—
3	—	748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records One of five employee pre-employment reference documents was observed to be missing dates of previous employment.	—
4	—	748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks Staff did not exercise self-control when disciplining a child in care by use of corporal punishment.	—
4	—	748.685(b)(3) - Caregiver responsibility - when deciding how close to supervise, takes into account the indoor and outdoor layout of the operation Children in care were not provided adequate supervision resulting in two children engaging in sexually inappropriate behavior with one another.	—
5	—	748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation A child in care was subjected to physical discipline by a staff member.	—
5	—	748.1101(b)(4)(A)(ii) - Children's rights-The right to be free from being subjected to or threatened with corporal punishment, including spanking or hitting A child in care was subjected to corporal punishment when a staff member used physical discipline as an inappropriate response to the child's behavior.	—
5	—	748.2303(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work. An employee was observed on video forcibly picking a child up from his chair and dragging him by his pant leg, and in another video, pushing this same child in care out of his chair onto the floor and hitting him.	—
4	—	748.930(b)(2) - Annual Training- Caregivers must have 2 hrs trauma informed care. Three of the six employee files reviewed were observed to be missing training in Trauma Informed Care.	—
5	—	748.125(c)(1) - Suicide Training-All caregivers and employees must complete at least one hour of annual suicide prevention training. Neither of the four employee files reviewed were observed to have an annual Suicide Training.	—
4	—	748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks During the investigation, it was reported through multiple interviewees that multiple staff were overheard using profanity.	—
5	—	745.8641 - Requirements during probation Condition #1-Met Condition #2-Met Condition #3-Met Condition #4-Met Condition #5-Not Met Condition #6-Met	—
5	—	745.8641 - Requirements during probation Condition #1-Met Condition #2-Met Condition #3-Met Condition #4-Met Condition #5-Not Met-Employee observations were not conducted in accordance with the conditions that have been imposed. Condition #6-Met	—
4	—	748.2901(2)(A) - Triggered Reviews-Review if child is personally restrained 4 times within a 7-day period, unless otherwise ordered or recommended in advance One of the eight child files reviewed was observed to be missing 2 Triggered Reviews.	—
4	—	748.1337(b)(1)(D)(ii) - Initial Service Plan-Include instructions to caregivers about level of supervision required Caregivers did not provide line-of-sight supervision for two youths in care as required by their service plan. As a result two youths went into a bedroom for approximately ten minutes before being noticed.	—
3	—	748.311 - Serious Incident Documentation-Documented in written report Two staff members failed to document and report the incidents that took place with a child in care on 3/12/22.	—
5	—	748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation A staff member used physical force to push, punch, drag and twist a child?s arm behind their back as an inappropriate response to behaviors demonstrated.	—
4	—	748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks Video surveillance revealed staff responsible for ensuring child safety present during the time that children in care were being subjected to excessive physical contact failing to intervene.	—
5	—	748.1101(b)(4)(A)(ii) - Children's rights-The right to be free from being subjected to or threatened with corporal punishment, including spanking or hitting A staff member hit a child in care.	—
2	—	748.1583(b) - TB exam-Documentation of baseline test or chest xray results in person's record w/in 40 days of beginning to live, work, volunteer at facility Child files were observed to be missing TB exam documentation.	—
5	—	748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation A child in care was observed on video being struck in the face by a staff member as a form of punishment.	—
4	—	748.303(a)(3)(A) - Serious Incident-Report to Licensing as soon as aware of allegations or indications of abuse, neglect, or exploitation of a child A staff member documented that a staff bent a child's fingers back causing the child pain, but the incident was not reported to the abuse/neglect hotline within the time frame required by minimum standards.	—
4	—	748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model Six medication logs for four children in care were observed to have an inaccurate count of medication remaining documented on the log compared to the actual count.	—
4	—	748.2151(c)(5) - Medication record - must include date (day/month/year) & time each medication was administered A medication log reviewed for one of six children did not show a documented amount of medication administered or remaining count from September 1st through 22nd.	—
4	—	748.4083(a) - Vehicle and maintenance-Must maintain a vehicle in a safe operating condition at all times Both seatbelts on the second row of Vehicle #037 were observed to be inoperable. One seatbelt in vehicle #028 on the second row was observed to be inoperable.	—
4	—	748.303(a)(3)(A) - Serious Incident-Report to Licensing as soon as aware of allegations or indications of abuse, neglect, or exploitation of a child A child made an outcry of abuse by staff and the staff that it was reported to did not report it for several weeks.	—
3	—	748.751(a)(2) - Pre-Employment Screening-You must contact the employer to verify if the applicant was employed as described in the applicant's employment history. Pre-employment screenings were observed to be completed after employees were hired.	—
5	—	745.8641 - Requirements during probation Condition #1-Met Condition #2-Met Condition #3-Met Condition #4-Met Condition #5-Not Met Condition #6-Met	—
4	—	748.4083(a) - Vehicle and maintenance-Must maintain a vehicle in a safe operating condition at all times One of the three transportation vans was observed to have a missing arm rest that exposed a small protruding metal piece on the side of the seat utilized by children in care. A second vehicle was observed to have an inoperable headlight.	—
5	—	745.8641 - Requirements during probation Condition #1-Met Condition #2-Met Condition #3-Not Met Condition #4-Met Condition #5-Met Condition #6-Met	—
3	—	748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records Two of the six employee files reviewed were observed to be missing current driver's licenses.	—
5	—	748.2303(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work. Staff was observed on video hitting a child in the face with a closed hand.	—
5	—	745.8641 - Requirements during probation Condition #1-Not Met Condition #2-Met Condition #3-Met Condition #4-Met Condition #5-Met Condition #6-Met	—
3	—	748.1501(a)(1) - Dental care-Children in care must receive dental care initially according to the requirements in 748.1225 A child who was admitted into care on 02/15/2022 did not receive dental care until 01/10/2024.	—
5	—	HRC42.04412(a) - Interference with an investigation Multiple staff members questioned the children about the alleged incident before reporting to the hotline.	—
3	—	748.1103(a) - Informing child of rights-Review rights with child/parents within 7 days of child's admission; provide child/parents with written copy of rights One of the four child files was observed to be missing a signed copy of the Child's Rights.	—
5	—	748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being Staff failed to properly supervise a child who is non-verbal. Child sustained a serious fracture of the right middle proximal phalarix (finger) that required medical attention and a cast.	—
2	—	748.751(b)(2) - Pre-Employment Screening-You must document the results of any contact with an applicant's previous employers in the personnel file. Results of pre-employment screening were not documented in an employee's file.	—
5	—	748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being Children in the staff reported that one or more staff members have been observed sleeping during the overnight shift.	—
4	—	748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks A staff member failed to exercise prudent judgement and maintain self-control when he used physical force to kick a child in care as an inappropriate response to behaviors demonstrated.	—
4	—	748.930(b)(3) - Annual Training- Caregivers must have 1 hour normalcy training. One of the six employee files reviewed was observed to be missing an annual training in Normalcy.	—
2	—	748.1583(b) - TB exam-Documentation of baseline test or chest xray results in person's record w/in 40 days of beginning to live, work, volunteer at facility Child files were observed to be missing TB exam documentation.	—
2	—	748.751(b)(2) - Pre-Employment Screening-You must document the results of any contact with an applicant's previous employers in the personnel file. Results of pre-employment screening were not documented in an employee's file.	—

Severity 5 = most serious. Source: official state record.

Inspections (232)

232 inspection record(s) on file from TX-HHSC.

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